EHealth Actions at European level Flora GIORGIO Unit H1 – ICT for Health DG INFSO European...

eHealth Actions at European leveleHealth Actions at European level

Flora GIORGIOFlora GIORGIO

Unit H1 – ICT for HealthUnit H1 – ICT for Health

DG INFSODG INFSO

European CommissionEuropean Commission

••• 2

OverviewOverview

1. EC vision for eHealth

2. EC instruments to make eHealth reality

• R&D

• POLICY

• Support to deployment (CIP ICT PSP)

3. Conclusions

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Some facts - Challenges for Some facts - Challenges for European Health SystemsEuropean Health Systems

Pressure on healthcare systems:

Citizens’ expectations for high-quality care

Demographic changes

Increased prevalence of chronic diseases

Increased mobility of citizens and patients

Staff shortages, unequal territorial distribution

Reactive model of healthcare delivery

Rising healthcare costs

How to offer high-quality &

affordable care?

How to offer high-quality &

affordable care?

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EC vision for Health : EC vision for Health : ICT to support a paradigm shiftICT to support a paradigm shift

From ‘curative care’ to ‘preventive care’

From ‘hospital-based’ to ‘patient-centred’

HOW?

By using ICT to enable collaborative, personalised care empowering empowering

By aiming at sustainability of healthcare systems reengineering reengineering

eHealth can help !

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EC instruments: EC instruments: to make eHealth reality! to make eHealth reality!

Research: Seventh Framework Programme for Research (FP7)

Personal Health Systems, Patient Safety, Virtual Physiological Human (~100M€/year)

Policy: Action Plan for a European eHealth Area (April 2004) White Paper “Together for health” COM (2007) 630 (October 2007) Communication on lead markets (December 2007) Recommendation on cross border interoperability of EHR systems (July 2008) Communication on “telemedicine and the benefit for patients, healthcare systems and

society” (November 2008) Digital Agenda for Europe (May 2010) Directive on patient's rights for cross border care, Art 14 (March 2011) eHealth Governance Initiative (2011) eHelath Task Force (report due 2012) NEW eHealth Action Plan (Due 4Q 2012)

Implementation: Competitiveness Innovation Programme (CIP ICT PSP): Large Scale Pilots on

Interoperability and Telemedicine + Thematic Networks EIP on Active and Healthy Ageing (2011)

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Europe 2020 strategy and Europe 2020 strategy and Digital Agenda – May 2010Digital Agenda – May 2010

Flagship Initiative of EU 2020

Strategy “to deliver sustainable economic and social benefits from a digital single market –

101 actions clustered in 7 pillars

Vibrant Single Market

Interoperability and standards

Trust and security

Fast and Ultra fast internet access

R&D

Digital Literacy, inclusions eSkills

Societal challenges (public services, health, environment)

••• 7ICT for Health – Flora Giorgio – May 18 2010 ••• 7

European Digital Agenda –eHealthEuropean Digital Agenda –eHealth

Renew commitment to eHealth by fostering:

EMPOWERMENT

support patients access to eHealth services, including patients records + telemedicine services

SHARING KNOWLEDGE/INTEROPERABILITY FOR BETTER CARE

minimum data set for patients‘ summaries

standardization, certification and testing

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EMPOWERINGEMPOWERING

KA 13 (I) pilot actions to secure online access to their medical health data by 2015

CIP ICT PSP Call 5 –Objective 3.4 a- Support pilots enabling patients access to data and associated services (including telehealth, CDM services)

2 pilots B (Palante + Sustains): involving in total 19 regions and expected to reach …X patients.

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KA 13 (II) KA 13 (II) to achieve by 2020 widespread deployment of telemedicine to achieve by 2020 widespread deployment of telemedicine

servicesservices

Implementation of Commission Communication on “Telemedicine for the benefit of patients', healthcare systems and society” COM (2008) 689 – Nov 2008

Evidences on large scale CIP ICT PSP RENEWING HEALTH started Feb 2010

Develop guidelines for consistent assessment of the impact of telemedicine MUST study + ongoing work

1 CIP ICT PSP TN under negotiation- to support wider deployment of TM (guidelines, good practice exchange) 500k (3years)


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KA 13 (II) KA 13 (II) to achieve by 2020 widespread deployment of telemedicine to achieve by 2020 widespread deployment of telemedicine services (II)services (II)

EC Staff Working Paper on legal issues (due 2012)

eHealth Governance Initiative – legal WP

ISA WP 2011- Study on Interoperability framework for eHealth and Telemedicine – to be launched in 2011

Directive Patients’ right in cross Border care 2011/24


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KA14 Recommendation on minimum common set of patient data for interoperability of patient records by 2012.

epSOS

European eHealth Governance Initiative

Consultation with MS and stakeholders

eHealth Network - Article 14 XBorder care Directive

SHARING SHARING KNOWLEDGE/INTEROPERABILITYKNOWLEDGE/INTEROPERABILITY

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Action 78Foster EU-wide standards, interoperability testing and certification of eHealth systems by 2015 through stakeholder dialogue

Support R&D FP7 Call 7 Objective 5.3 d (semantic interoperability and infostructure)

new EU standardisation framework

ISA WP 2011- Study on Interoperability framework for eHealth and Telemedicine – to be launched in 2011

SHARING KNOWLEDGE/ SHARING KNOWLEDGE/ INTEROPERABILITYINTEROPERABILITY

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Europe 2020: Digital AgendaEmpowerment; sharing

knowledge/interoperability

Strategic references eHealth cooperation

KA 13-14 :CIP ICT PSP; FP7;ISA WP eGovernment:

-eID-eSignature

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MS Cooperation on eHealth

Directive on patients’ rights in cross -border healthcare

eHealth Governance Initiative (Joint Action &Thematic Network)

Enhance safety, continuity and quality in cross- border healthcare through interoperable electronic health systems

Art 14-Sets up a new eHealth Network of Member States “ to:•draw up the guidelines patient summaries; use of data for research and public health •support Member States in developing common identification and authentication measures to facilitate transferability of data in cross-border healthcare”

Supports co-operation between Member States on eHealth - trust &acceptability, e.g. eID , interoperability, data protection and legal issues

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-eID-eSignatureDirective EU 2011/24

Patients’ rights in cross-border healthcare,

eHealth NetworkeHealth Governance Initiative

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eHealth for health – a look ahead eHealth for health – a look ahead

eHealth Task Force A High level group of advisors reporting directly to Vice

President Kroes and Commissioner Dalli

Objective: Look at the future advice to unlock innovation in Health

Participants: individual with track records of innovative approach to their sector (not all necessarily from Health) + patients (EPF)

Timeline: Final Report 2 Q 2012 (CHP eHealth Conference 2012)

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What’s nextWhat’s next

New “eHealth Action Plan” – EC Communication (due 2012)

Evidences and awareness

Interoperability/standardisation/market

Regulatory/Organisational issues

Innovation in eHealth

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-eID-eSignature

eHealth action plan:-Legal issues

-Users acceptance-Interoperability

Directive EU 2011/24

Patients’ rights in cross-border healthcare,

eHealth Network

eHealth Governance Initiative

European Innovation Partnership on Active and Healthy Ageing

EU Standardisation framework

Medical Device Directive

Data protection Directive

eHealth task force

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ConclusionsConclusions

eHealth high on EU Agenda

Many ongoing initiatives (supported by CIP ICT PSP, Health and growth; FP7, Horizon 2020 etc)

eHealth Action plan 2012 will consolidate

eHealth Network will be a key instrument to strengthen MS cooperation

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Thank you!Thank you!

For further information:

INFSO ICT for Health Policy & Research:

http://ec.europa.eu/information_society/ehealth

eHealth Weeks (ministerial + WoHIT)http://ec.europa.eu/ehealthweek

Interactive Portal/Examples:

http://www.epractice.euwww.good-ehealth.orgwww.eHealth-impact.org

http://www.epractice.eu/

http://www.good-ehealth.org/

http://www.ehealth-impact.org/

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Annual event: eHealth WeekAnnual event: eHealth Week

Programme, Satellite meetings, Exhibition, Networking, Social events, etc:

www.ehealthweek.org

History of the eHealth Ministerial conferences since 2003:

http://ec.europa.eu/ehealthweek

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